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Nebraska rates for HCPCS A9520

Technetium Tc-99m, tilmanocept, diagnostic, up to 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.11 / $920.06 / $2,286.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.20 / $635.11 / $966.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.00 / $850.00 / $850.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.00 / $288.75 / $674.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.70 / $793.89 / $2,977.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $827.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.22 / $564.22 / $564.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.22 / $564.22 / $564.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.49 / $661.57 / $793.89